California to Give Web Courses a Big Trial

A plan to offer an array of online college classes at a California state university could, if the students are successful, open the door to teaching hundreds of thousands of California students at a lower cost via the Internet.

Udacity, a Silicon Valley start-up that creates online college classes, will announce a deal on Tuesday with San Jose State University for a series of remedial and introductory courses.

Because the courses are intended to involve the classroom instructor, it could also help to blunt professors’ unease with the online classes. 

The state university’s deal with Udacity is also the first time that professors at a university have collaborated with a provider of a MOOC — massive open online course — to create for-credit courses with students watching videos and taking interactive quizzes, and receiving support from online mentors.

Eventually, such courses could be offered to hundreds of thousands of students in the state.

California Gov. Jerry Brown, who has been pushing state universities to move more aggressively into online education, approached the company to come up with a technological solution for what has become a vexing challenge for the state.

Ellen N. Junn, provost and vice president for academic affairs at the university in San Jose, said the California State University System faces a crisis because more than 50 percent of entering students cannot meet basic requirements.

“They graduate from high school, but they cannot pass our elementary math and English placement tests,” she said.

The Udacity pilot program will include a remedial algebra course, a college-level algebra course and introductory statistics.

For the pilot project starting this month, however, the courses will be limited to 300 students — half from San Jose State University, and half from local community colleges and high schools — who will pay lower than usual tuition. The cost of each three-unit course will be $150, significantly less than regular San Jose State tuition. Sebastian Thrun, one of the founders of Udacity, would not disclose how much the company would be paid for its participation.

San Jose State will receive funds from the National Science Foundation to study the effectiveness of the new online classroom design.

Open online courses exploded in American higher education in 2011 after Mr. Thrun, a nationally known artificial-intelligence researcher at Stanford, and Peter Norvig, Google’s director of research, offered to teach an introductory artificial-intelligence course online. More than 160,000 students initially registered for the class.

After two other Stanford courses each attracted more than 100,000 students, Dr. Thrun started his venture. Two other Stanford computer scientists, Andrew Ng and Daphne Koller, also established a competing private company, Coursera, to develop technologies necessary to change the reach and effectiveness of online education.

The courses have rapidly moved from the periphery to the center of higher education policy as a growing number of schools have begun experimenting with ways to offer the courses for credit toward a degree.

EdX, a university collaboration initiated by the Massachusetts Institute of Technology and Harvard last year, this month will begin offering some of its courses at two Massachusetts community colleges, in a blended format.

Recently edX completed a pilot offering of its difficult circuits and electronics course at San Jose State to stunning results: while 40 percent of the students in the traditional version of the class got a grade of C or lower, only 9 percent in the blended edX class got such a low grade.

Last fall, for the first time, Udacity’s courses were tried on a small group of struggling high school students, at the Winfree Academy Charter School system, a cluster of schools near Dallas-Fort Worth created to help struggling students and reclaim dropouts.

“I was a little scared to put our kids, who are struggling and at risk of dropping out, into a class written by a Stanford professor,” said Melody Chalkley, Winfree’s founder. “But of the 23 students who used Udacity, one withdrew from the school, and the other 22 all finished successfully. And two young women got through the whole physics course in just two weeks.”

This article has been revised to reflect the following correction:

Correction: January 15, 2013

An earlier version of this article misstated the name of a California university faculty group. It is the California Faculty Association, not the California Teachers Association. The article also misstated the nature of the courses that San Jose State University will offer with Udacity. The courses will involve students watching videos and taking interactive quizzes; they will not be blended courses with students first watching videos on their own, and then coming to class to work on assignments with a professor.

Read More..

Well: Turning to the Web for a Medical Diagnosis

Thirty-five percent of American adults said they have used the Internet to diagnose a medical condition for themselves or someone else, according to a new Pew Research Center study. Women are more likely than men to turn to the Internet for diagnoses. Other groups more likely to do so are younger people, white adults, people with college degrees and those who live in households with income above $75,000.

The study, released by Pew’s Internet and American Life Project on Tuesday, points out that Americans have always tried to answer their health questions at home, but that the Internet has expanded the options for research. Previous surveys have asked questions about online diagnoses, but the Pew study was the first to focus on the topic with a nationally representative sample, said Susannah Fox, an associate director at Pew Internet. Surveyors interviewed 3,014 American adults by telephone, from August to September 2012.

Of the one in three Americans who used the Internet for a diagnosis, about a third said they did not go to a doctor to get a professional medical opinion, while 41 percent said a doctor confirmed their diagnosis. Eighteen percent said a doctor did not agree with their diagnosis. As far as where people start when researching health conditions online, 77 percent said they started at a search engine like Google, Bing or Yahoo, while 13 percent said they began at a site that specializes in health information.

Read More..

Well: Turning to the Web for a Medical Diagnosis

Thirty-five percent of American adults said they have used the Internet to diagnose a medical condition for themselves or someone else, according to a new Pew Research Center study. Women are more likely than men to turn to the Internet for diagnoses. Other groups more likely to do so are younger people, white adults, people with college degrees and those who live in households with income above $75,000.

The study, released by Pew’s Internet and American Life Project on Tuesday, points out that Americans have always tried to answer their health questions at home, but that the Internet has expanded the options for research. Previous surveys have asked questions about online diagnoses, but the Pew study was the first to focus on the topic with a nationally representative sample, said Susannah Fox, an associate director at Pew Internet. Surveyors interviewed 3,014 American adults by telephone, from August to September 2012.

Of the one in three Americans who used the Internet for a diagnosis, about a third said they did not go to a doctor to get a professional medical opinion, while 41 percent said a doctor confirmed their diagnosis. Eighteen percent said a doctor did not agree with their diagnosis. As far as where people start when researching health conditions online, 77 percent said they started at a search engine like Google, Bing or Yahoo, while 13 percent said they began at a site that specializes in health information.

Read More..

California to Give Web Courses a Big Trial

A plan to offer an array of online college classes at a California state university could, if the students are successful, open the door to teaching hundreds of thousands of California students at a lower cost via the Internet.

Udacity, a Silicon Valley start-up that creates online college classes, will announce a deal on Tuesday with San Jose State University for a series of remedial and introductory courses.

Because the courses are intended to involve the classroom instructor, it could also help to blunt professors’ unease with the online classes. 

The state university’s deal with Udacity is also the first time that professors at a university have collaborated with a provider of a MOOC — massive open online course — to create for-credit courses with students watching videos and taking interactive quizzes, and receiving support from online mentors.

Eventually, such courses could be offered to hundreds of thousands of students in the state.

California Gov. Jerry Brown, who has been pushing state universities to move more aggressively into online education, approached the company to come up with a technological solution for what has become a vexing challenge for the state.

Ellen N. Junn, provost and vice president for academic affairs at the university in San Jose, said the California State University System faces a crisis because more than 50 percent of entering students cannot meet basic requirements.

“They graduate from high school, but they cannot pass our elementary math and English placement tests,” she said.

The Udacity pilot program will include a remedial algebra course, a college-level algebra course and introductory statistics.

For the pilot project starting this month, however, the courses will be limited to 300 students — half from San Jose State University, and half from local community colleges and high schools — who will pay lower than usual tuition. The cost of each three-unit course will be $150, significantly less than regular San Jose State tuition. Sebastian Thrun, one of the founders of Udacity, would not disclose how much the company would be paid for its participation.

San Jose State will receive funds from the National Science Foundation to study the effectiveness of the new online classroom design.

Open online courses exploded in American higher education in 2011 after Mr. Thrun, a nationally known artificial-intelligence researcher at Stanford, and Peter Norvig, Google’s director of research, offered to teach an introductory artificial-intelligence course online. More than 160,000 students initially registered for the class.

After two other Stanford courses each attracted more than 100,000 students, Dr. Thrun started his venture. Two other Stanford computer scientists, Andrew Ng and Daphne Koller, also established a competing private company, Coursera, to develop technologies necessary to change the reach and effectiveness of online education.

The courses have rapidly moved from the periphery to the center of higher education policy as a growing number of schools have begun experimenting with ways to offer the courses for credit toward a degree.

EdX, a university collaboration initiated by the Massachusetts Institute of Technology and Harvard last year, this month will begin offering some of its courses at two Massachusetts community colleges, in a blended format.

Recently edX completed a pilot offering of its difficult circuits and electronics course at San Jose State to stunning results: while 40 percent of the students in the traditional version of the class got a grade of C or lower, only 9 percent in the blended edX class got such a low grade.

Last fall, for the first time, Udacity’s courses were tried on a small group of struggling high school students, at the Winfree Academy Charter School system, a cluster of schools near Dallas-Fort Worth created to help struggling students and reclaim dropouts.

“I was a little scared to put our kids, who are struggling and at risk of dropping out, into a class written by a Stanford professor,” said Melody Chalkley, Winfree’s founder. “But of the 23 students who used Udacity, one withdrew from the school, and the other 22 all finished successfully. And two young women got through the whole physics course in just two weeks.”

This article has been revised to reflect the following correction:

Correction: January 15, 2013

An earlier version of this article misstated the name of a California university faculty group. It is the California Faculty Association, not the California Teachers Association. The article also misstated the nature of the courses that San Jose State University will offer with Udacity. The courses will involve students watching videos and taking interactive quizzes; they will not be blended courses with students first watching videos on their own, and then coming to class to work on assignments with a professor.

Read More..

IHT Rendezvous: Talking Trust With China's Army

BEIJING — China will soon publish a new country map that expands its claims to disputed territories. Japan has announced its first increase in defense spending in 11 years in a move widely perceived as countering China. Recently, fighter planes and other aircraft have been used by both countries as tensions grow over a group of islands in the East China Sea that both claim, called the Diaoyu in Chinese and Senkaku in Japanese.

With suspicion and escalation apparently the order of the day in East and Southeast Asia, and speculation growing if this year will see an armed skirmish between China and Japan, it is crucial to understand how the military of the rising nation sees the world. So a recent post by an American scholar who took part in a forum organized by China’s military in Beijing had some fascinating things to say.

A focus of the meeting, called “Security in Asia: New Problems and New Thinking,” was trust. Yet with deeply divergent worldviews on display some discussions ended up “modeling” distrust rather than overcoming it, wrote Christopher Ford, one of 60 security and defense specialists, including serving military men, from 21 countries, who gathered in November for the Fourth Xiangshan Forum. The event was organized by the China Association for Military Science, which is part of the Academy of Military Science of the People’s Liberation Army, and attendees on the Chinese side included the air force general Liu Chengjun, the state-run China Military Online reported.

“Indeed, our discussions quickly veered off course during the first day, from the presentation of prepared papers on the subject of trust into lengthy comment-and-response cycles in which the participants sometimes seemed to inhabit parallel universes of competing facts and historical claims,” Mr. Ford wrote in New Paradigms Forum, an issues and discussion Web site. Mr. Ford is a senior fellow at the Hudson Institute in Washington, D.C. and previously a principal deputy assistant Secretary of State, as well as a former U.S. special representative for Nuclear Nonproliferation, according to New Paradigms Forum.

“In particular, the Chinese and non-Chinese participants seemed to start from radically different starting points on surprisingly basic matters of fact,” including who started the 1950-53 Korean War, what happened in the South China Sea last year as tensions rose over disputed territories, and whether or not Japanese history textbooks acknowledge that country’s invasion of China in the 1930s, Mr. Ford noted.

“In principle, these questions were objectively ‘knowable,’ yet our hosts were not interested in empirical evaluation. Instead, our Roundtable discussions bogged down, for it was apparently central to the agenda of most PLA participants that their version of these facts – and their accompanying characterizations about fault and blame – be accepted by all others as a starting point for future-oriented discussions of ‘mutual trust,’” Mr. Ford wrote.

“Significantly, no non-Chinese participant in our Roundtable presumed to tell the Chinese participants what China’s strategic intentions are,” he continued. “Instead, non-Chinese participants explicitly referred to foreign concerns rooted in perceptions of Beijing’s intentions, and asked about how it might be possible to lessen foreign misperceptions that might exist in this regard if indeed the PRC’s rise is as benign as its leaders claim.”

The Chinese side behaved differently, Mr. Ford wrote, revealing profound differences in worldview.

“The PLA participants, however, were quite comfortable telling non-Chinese what their various governments’ intentions are. We were told, for instance, that Japan wishes to return to imperialist adventurism of the sort that it displayed during the Second World War. The United States, we were further told, wishes to “contain” China and obstruct its rise. These Chinese assumptions were not depicted as mere perceptions, but instead as matters of inarguable fact that we non-Chinese must accept – and thereafter atone for – in order to make future trust possible,” he wrote.

Mr. Ford’s conclusion? Here I simplify his argument for the sake of brevity, but it is essentially this: “the emerging Chinese superpower hungers to control other peoples’ narrative of China.”

Why?

“China’s fixation upon shaping others’ accounts of China, then, is arguably not necessarily ‘just’ the result of insecurity or narcissism,” he writes. “It’s actually a strategic objective, because it is assumed that status or role ascriptions and moral characterizations play a critical role in shaping the world they describe.”

“It seems to be felt, for instance, that if the world understands China “properly,” it will tend to behave toward China as China’s rulers desire,” he wrote.

Of course, all this is from the point of view of a Western attendee.

But searching for accounts of the meeting from the Chinese point of view yielded reports from state-run media that focused mostly on the mechanics of the event itself but no inside, or deep, analysis.

One, from the People’s Liberation Army Daily, cited Qi Jianguo, deputy chief of general staff of the Chinese People’s Liberation Army, who attended, hinted at tensions but confined itself to generalities, such as: “Facing deep and complicated changes in the Asia-Pacific security situation, we must stand for and uphold a new security view of ‘mutual trust, mutual benefit, equality, cooperation,’ of wanting peace and not war, of wanting development and not poverty, cooperation and not enmity.”

The more candid accounts from observers outside China was just one indication of the great divide between China and its neighbors as tensions fester in the region, with many of the animosities rooted in strikingly different views of history.

Read More..

Wheels Blog: The Seventh-Generation Corvette Is Unveiled in Detroit

DETROIT — The Stingray is back, in name and in spirit.

At an invitation-only gathering hours before the North American International Auto Show was scheduled to open for press previews, General Motors introduced the 2014 Corvette, the seventh generation of Chevrolet’s hallmark sports car.

Underscoring the importance of this vehicle was Chevrolet’s revival of the long-dormant Stingray badge, a name it first used on a 1959 racecar built by G.M.’s design chief, Bill Mitchell. The hope for that original Stingray racecar was to beat Europe’s best, and G.M. still seems to be thinking along those lines.

According to G.M.’s president for North America, Mark Reuss, the latest Stingray is a potential worldbeater.

“Like the ’63 Sting Ray, the best Corvettes embodied performance leadership, delivering cutting-edge technologies, breathtaking design and awe-inspiring driving experiences,” Mr. Reuss said. “The all-new Corvette goes farther than ever, thanks to today’s advancements in design technology and engineering.”

The release of a new Corvette is always highly anticipated by auto enthusiasts; speculation about “C7″ — shorthand for the seventh generation — has run high. Would it get a twin-cam turbocharged powertrain? Would Chevy switch to an exotic midengine chassis?

In actuality, the 2014 model will again have a pushrod V-8 engine in its nose, driving the rear wheels. That conservative approach might be seen as a timid compromise from a company that has just begun to get back on solid financial footing. But the front-engine, rear-drive layout has long defined the Corvette, and this car, like its C6 predecessor, may well show its taillights to cars with specs that more closely conform to what is considered state of the art.

While automakers are quick to toss around the words “all new” to describe their latest offerings, however warmed over they might be, in this case the term is justified — the 2014 Corvette shares only two parts with its predecessor.

The C7 Corvette’s styling is in keeping with the brand’s persona, yet it projects a more aggressive image than previous generations. The clean front fascia is devoid of parking lights, and is energized by a sharp edge where it meets the hood, which is itself defined by a prominent bulge and more hard edges. The curve of the front fenders peaks at yet another edge that blends seamlessly into the body side at the A-pillar. The body’s flanks are defined by character lines that race back from vents behind the front wheel, not unlike those of previous Corvettes, but here those lines are more sharply drawn, with the upper line sweeping up and back to define the shape of the rear quarter panel. The lower character line projects from the body, forming a wing of sorts that flows out of the front fender and terminates at the rear of the door. The coupe’s roofline arcs smoothly to meet the rear spoiler, rather than terminating at the rear window, as in the C6. The individual rear taillights that have long been a part of Corvette design are now paired in a deep recess on each side. Four large exhaust pipes exit center-stage, rear.

The sheet-molded fiberglass body, with carbon-fiber hood and roof panels and carbon-nano composite underbody panels, is 37 pounds lighter than the C6’s body. It rides on a new aluminum frame that is 57 percent stiffer and 99 pounds lighter than the current model’s. The wheelbase is about one inch longer than that of the C6, and the track is almost an inch wider — changes said to provide a more stable feel at high speed.

Inside the cockpit, considerable effort was lavished on upgrading what has generally been considered a blighted zone. Optional carbon fiber trim and real aluminum combine with plastic in a wraparound configuration. The steering wheel, with a 14.1 inch diameter, is smaller than that of the previous model, and two seat choices are offered, with the competition sport version providing more side bolstering to hold occupants in place in spirited maneuvers. Indicative of the car’s purpose is the inclusion of a console-mounted steel grab bar for the passenger.

Under the hood, Chevrolet’s 6.2-liter small block V-8 — now in its fifth-generation design — produces an estimated 450 horsepower and 450 pound-feet of torque. At low speed, torque output exceeds that of the previous 6.2-liter engine by 50 pound-feet. The engine shares few parts with prior Corvette V-8s and is fitted with direct fuel injection that, in combination with other refinements, enables a high compression ratio of 11.5:1. Active Fuel Management, G.M.’s system for deactivating cylinders when they are not needed, lets the car cruise on four cylinders in some driving modes. Final fuel-economy numbers are not yet available.

Two transaxles will be offered: a 6-speed automatic with paddle-shift mode or a 7-speed manual with rev-matching capability — an electronic version of the heel-and-toe shifting techniques that competition drivers employ to enable smooth gear changes when negotiating twisty bits.

The Corvette driver will be able to select from among five driving modes: weather, Eco, Tour, Sport and Track; the default setting will be Tour. Changing modes alters 12 vehicle attributes, including throttle response, shift points, engagement of the limited-slip differential engagement, shock damping and more. Four-piston Brembo brakes provide stopping power, and electric power steering sets the course.

An optional Z51 performance package adds an electronic limited-slip differential that can continuously vary torque split between the rear wheels, dry-sump oiling, upgraded shock absorbers, a revised version of the automaker’s Magnetic Ride Control suspension-regulating system, close-ratio gears for the manual transmission, larger brake rotors and aerodynamic refinements that incorporate air-flow management for cooling of heat-stressed components.

Like its predecessor, the 2014 Corvette Stingray will be built at a G.M. plant in Bowling Green, Ky. The car is expected to arrive at dealerships in the third quarter of this year.

Read More..

Susan Nolen-Hoeksema, Psychologist Who Studied Depression in Women, Dies at 53

Susan Nolen-Hoeksema, a psychologist and writer whose work helped explain why women are twice as prone to depression as men and why such low moods can be so hard to shake, died on Jan. 2 in New Haven. She was 53.

Andrew Sacks

Susan Nolen-Hoeksema at the University of Michigan in 2003. Dr. Nolen-Hoeksema's research showed that women were more prone to ruminate, or dwell on the sources of problems rather than solutions, more than men.

Her death followed heart surgery to correct a congenitally weak valve, said her husband, Richard Nolen-Hoeksema.

Dr. Nolen-Hoeksema, a professor at Yale University, began studying depression in the 1980s, a time of great excitement in psychiatry and psychology. New drugs like Prozac were entering the market; novel talking therapies were proving effective, too, particularly cognitive behavior therapy, in which people learn to defuse upsetting thoughts by questioning their basis.

Her studies, first in children and later in adults, exposed one of the most deceptively upsetting of these patterns: rumination, the natural instinct to dwell on the sources of problems rather than their possible solutions. Women were more prone to ruminate than men, the studies found, and in a landmark 1987 paper she argued that this difference accounted for the two-to-one ratio of depressed women to depressed men.

She later linked rumination to a variety of mood and behavior problems, including anxiety, eating disorders and substance abuse.

“The way I think she’d put it is that, when bad things happen, women brood — they’re cerebral, which can feed into the depression,” said Martin Seligman, a professor of psychology at the University of Pennsylvania, who oversaw her doctoral work. “Men are more inclined to act, to do something, plan, beat someone up, play basketball.”

Dr. Seligman added, “She was the leading figure in sex differences in depression of her generation.”

Dr. Nolen-Hoeksema wrote several books about her research for general readers, including “Women Who Think Too Much: How to Break Free of Overthinking and Reclaim Your Life.” These books described why rumination could be so corrosive — it is deeply distracting; it tends to highlight negative memories — and how such thoughts could be alleviated.

Susan Kay Nolen was born on May 22, 1959, in Springfield, Ill., to John and Catherine Nolen. Her father ran a construction business, where her mother was the office manager; Susan was the eldest of three children.

She entered Illinois State University before transferring to Yale. She graduated summa cum laude in 1982 with a degree in psychology.

After earning a Ph.D. in psychology at the University of Pennsylvania, she joined the faculty at Stanford. She later moved to the University of Michigan, before returning to Yale in 2004.

Along the way she published scores of studies and a popular textbook. In 2003 she became the editor of the Annual Review of Clinical Psychology, an influential journal.

Dr. Nolen-Hoeksema moved smoothly between academic work and articles and books for the general reader.

“I think part of what allowed her to move so easily between those two worlds was that she was an extremely clear thinker, and an extremely clear writer,” said Marcia K. Johnson, a psychology professor and colleague at Yale.

Dr. Nolen-Hoeksema lived in Bethany, Conn. In addition to her husband, a science writer, she is survived by a son, Michael; her brothers, Jeff and Steve; and her father, John.

“Over the past four decades women have experienced unprecedented growth in independence and opportunities,” Dr. Nolen-Hoeksema wrote in 2003, adding, “We have many reasons to be happy and confident.”

“Yet when there is any pause in our daily activities,” she continued, “many of us are flooded with worries, thoughts and emotions that swirl out of control, sucking our emotions and energy down, down, down. We are suffering from an epidemic of overthinking.”

Read More..

Susan Nolen-Hoeksema, Psychologist Who Studied Depression in Women, Dies at 53

Susan Nolen-Hoeksema, a psychologist and writer whose work helped explain why women are twice as prone to depression as men and why such low moods can be so hard to shake, died on Jan. 2 in New Haven. She was 53.

Andrew Sacks

Susan Nolen-Hoeksema at the University of Michigan in 2003. Dr. Nolen-Hoeksema's research showed that women were more prone to ruminate, or dwell on the sources of problems rather than solutions, more than men.

Her death followed heart surgery to correct a congenitally weak valve, said her husband, Richard Nolen-Hoeksema.

Dr. Nolen-Hoeksema, a professor at Yale University, began studying depression in the 1980s, a time of great excitement in psychiatry and psychology. New drugs like Prozac were entering the market; novel talking therapies were proving effective, too, particularly cognitive behavior therapy, in which people learn to defuse upsetting thoughts by questioning their basis.

Her studies, first in children and later in adults, exposed one of the most deceptively upsetting of these patterns: rumination, the natural instinct to dwell on the sources of problems rather than their possible solutions. Women were more prone to ruminate than men, the studies found, and in a landmark 1987 paper she argued that this difference accounted for the two-to-one ratio of depressed women to depressed men.

She later linked rumination to a variety of mood and behavior problems, including anxiety, eating disorders and substance abuse.

“The way I think she’d put it is that, when bad things happen, women brood — they’re cerebral, which can feed into the depression,” said Martin Seligman, a professor of psychology at the University of Pennsylvania, who oversaw her doctoral work. “Men are more inclined to act, to do something, plan, beat someone up, play basketball.”

Dr. Seligman added, “She was the leading figure in sex differences in depression of her generation.”

Dr. Nolen-Hoeksema wrote several books about her research for general readers, including “Women Who Think Too Much: How to Break Free of Overthinking and Reclaim Your Life.” These books described why rumination could be so corrosive — it is deeply distracting; it tends to highlight negative memories — and how such thoughts could be alleviated.

Susan Kay Nolen was born on May 22, 1959, in Springfield, Ill., to John and Catherine Nolen. Her father ran a construction business, where her mother was the office manager; Susan was the eldest of three children.

She entered Illinois State University before transferring to Yale. She graduated summa cum laude in 1982 with a degree in psychology.

After earning a Ph.D. in psychology at the University of Pennsylvania, she joined the faculty at Stanford. She later moved to the University of Michigan, before returning to Yale in 2004.

Along the way she published scores of studies and a popular textbook. In 2003 she became the editor of the Annual Review of Clinical Psychology, an influential journal.

Dr. Nolen-Hoeksema moved smoothly between academic work and articles and books for the general reader.

“I think part of what allowed her to move so easily between those two worlds was that she was an extremely clear thinker, and an extremely clear writer,” said Marcia K. Johnson, a psychology professor and colleague at Yale.

Dr. Nolen-Hoeksema lived in Bethany, Conn. In addition to her husband, a science writer, she is survived by a son, Michael; her brothers, Jeff and Steve; and her father, John.

“Over the past four decades women have experienced unprecedented growth in independence and opportunities,” Dr. Nolen-Hoeksema wrote in 2003, adding, “We have many reasons to be happy and confident.”

“Yet when there is any pause in our daily activities,” she continued, “many of us are flooded with worries, thoughts and emotions that swirl out of control, sucking our emotions and energy down, down, down. We are suffering from an epidemic of overthinking.”

Read More..

Electronic Records Systems Have Not Reduced Health Costs, Report Says

The conversion to electronic health records has failed so far to produce the hoped-for savings in health care costs and has had mixed results, at best, in improving efficiency and patient care, according to a new analysis by the influential RAND Corporation.

Jim Wilson/The New York Times

Dr. Alvin Rajkomar tracks patient data on a Samsung Galaxy Note. A new report questions whether electronic records reduce health care costs.

Optimistic predictions by RAND in 2005 helped drive explosive growth in the electronic records industry and encouraged the federal government to give billions of dollars in financial incentives to hospitals and doctors that put the systems in place.

“We’ve not achieved the productivity and quality benefits that are unquestionably there for the taking,” said Dr. Arthur L. Kellermann, one of the authors of a reassessment by RAND that was published in this month’s edition of Health Affairs, an academic journal.

RAND’s 2005 report was paid for by a group of companies, including General Electric and Cerner Corporation, that have profited by developing and selling electronic records systems to hospitals and physician practices. Cerner’s revenue has nearly tripled since the report was released, to a projected $3 billion in 2013, from $1 billion in 2005.

The report predicted that widespread use of electronic records could save the United States health care system at least $81 billion a year, a figure RAND now says was overstated. The study was widely praised within the technology industry and helped persuade Congress and the Obama administration to authorize billions of dollars in federal stimulus money in 2009 to help hospitals and doctors pay for the installation of electronic records systems.

“RAND got a lot of attention and a lot of buzz with the original analysis,” said Dr. Kellermann, who was not involved in the 2005 study. “The industry quickly embraced it.”

But evidence of significant savings is scant, and there is increasing concern that electronic records have actually added to costs by making it easier to bill more for some services.

Health care spending has risen $800 billion since the first report was issued, according to federal figures. The reasons are many, from the aging of the baby boomer population, to the cost of medical advances, to higher usage of medical services over all.

Officials at RAND said their new analysis did not try to put a dollar figure on how much electronic record-keeping had helped or hurt efforts to reduce costs. But the firm’s acknowledgment that its earlier analysis was overly optimistic adds to a chorus of concern about the cost of the new systems and the haste with which they have been adopted.

The recent analysis was sharply critical of the commercial systems now in place, many of which are hard to use and do not allow doctors and patients to share medical information across systems. “We could be getting much more if we could take the time to do a little more planning and to set more standards,” said Marc Probst, chief information officer for Intermountain Healthcare, a large health system in Salt Lake City that developed its own electronic records system and is cited by RAND as an example of how the technology can help improve care and reduce costs.

The RAND researchers pointed to a number of other reasons the expected savings had not materialized. The rate of adoption has been slow, they said, and electronic records do not address the fact that doctors and hospitals reap the benefits of high volumes of care.

Many experts say the available systems seem to be aimed more at increasing billing by providers than at improving care or saving money. Federal regulators are investigating whether electronic records make it easier for hospitals and doctors to bill for services they did not provide and whether Medicare and other federal agencies are adequately monitoring the use of electronic records.

Technology “is only a tool,” said Dr. David Blumenthal, who helped oversee the federal push for the adoption of electronic records under President Obama and is now president of the Commonwealth Fund, a nonprofit health group. “Like any tool, it can be used well or poorly.” While there is strong evidence that electronic records can contribute to better care and more efficiency, Dr. Blumenthal said, the systems in place do not always work in ways that help achieve those benefits.

Federal officials say they are drafting new rules to address many of the concerns about the current systems.

This article has been revised to reflect the following correction:

Correction: January 14, 2013

An article on Friday about a new RAND Corporation study that found few savings from electronic health records misstated, in some copies, the name of the city in Florida that is home to a physician practice that is suing a health care technology firm that stopped supporting a system it sold to doctors in the practice. It is in Panama City, not Panama.

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India Ink: Government Quells Maoist Rebellion in West Bengal

KOLKATA —Prime Minister Manmohan Singh has often called the conflict against the Communist Party of India (Maoist) the greatest internal security threat that India faces. With some 6,000 dead in India’s heartland since 2005 alone, it has certainly been one of the most violent.

Mr. Singh’s lingering inability to quell the bloodshed through a “two-pronged strategy” of economic development and armed counterinsurgency has led to repeated howls of protest; from the left for human rights abuses committed by ill-trained troops, and from the right for not employing a heavier hand to crush the rebellion. Traditionally protected by tribal populations, which have struggled to take part in India’s booming economic growth, the mobile Maoists evaded disjointed state-by-state responses while traversing India’s heavily forested central states. Recently the conflict took a particularly gruesome turn, when the body of a constable was discovered in Jharkhand, with a bomb sewn into the abdomen.

But a surprising thing happened at the start of this decade. After years of feeling one step behind the insurgents, the conflict’s momentum has suddenly shifted to the government’s favor. This was nowhere more evident than in the state of West Bengal. In 2010, more than 400 people died here as the state became the epicenter of the long-running insurgency. However, according to newly released figures collected by the Institute for Conflict Management, a research organization based in New Delhi, there were a mere four Maoist-related deaths in West Bengal in 2012 – a 99 percent drop in two years. While Maoist violence across India has fallen by more than 65 percent during the period, in West Bengal it has been all but eliminated.

How did the state turn things around so dramatically – and so quickly? Inspector General Vivek Sahay, who leads the Central Reserve Police Force in West Bengal, is in charge of the state’s anti-Maoist operations. Mr. Sahay believes that a greater number of officers available to combat the insurgency was essential to the turnaround. However, he said renewed attention to developing the building blocks of governance was just as important in causing the turning point as any military or strategic gains.

By weakening the insurgency in West Bengal, the government has been able to re-establish a constructive presence in rural areas, something Mr. Sahay sees as crucial. “Our success can’t be judged merely by kills or arrests,” he said. “It should be judged by the ability of other (government) departments to spend, to ensure that there is no fresh escalation of violence.”

Mr. Sahay is speaking about the second leg of the government’s strategy, highlighting the Central Reserve Police Force’s mandate to create an environment secure enough for rural development programs like the Mahatma Gandhi National Rural Employment Guarantee Act and other service-minded efforts to operate. By directly engaging with citizens, the government hopes that programs like these are the key weapon in the battle to win rural hearts and minds. Meanwhile, members of Mr. Singh’s government are daring to project confidence for the first time, lauding the “two-pronged strategy” as central to its success.

Still, backroom dealings may have also played a role. The Trinamool Congress, West Bengal’s current ruling party, has been repeatedly accused of aligning with the Maoists to gain rural support before the 2011 elections that brought it to power. The Trinamool Congress’s electoral rival, the Communist Party of India (Marxist), alleged that the chief minster of West Bengal, Mamata Banerjee, orchestrated a cease-fire deal with the Maoists before elections in exchange for rural support. Ms.Banerjee denies the deal, but her colleague, Kabir Suman , recently gave the claims renewed validity, claiming that they would have lost several key rural constituencies (and perhaps even the election) without the Maoists’ help.

Yet this alleged alliance may actually have served as the inadvertent breaking point of the insurgency. After the Maoists broke a cease-fire by assassinating several Trinamool Congress politicians, members of the Central Reserve Police Force used information gathered from pre-election mingling to kill the then-operational head of the Maoists, Kishenji.

A combination of secret surrender packages and promises to other former Maoist leaders of government jobs – mainly spying on their former comrades – have decimated Maoist ranks, leaving few capable enough to lead guerilla battles. Ms.Banerjee has cashed in on these victories, and in presiding over a populist government that has actively tried to extend development to its rural base, has made more concrete attempts to weaken the appeal of the Maoists than any West Bengal chief minister in a generation.

Will this combination of military successes and new promises of rural development finally mark the end of the 45-year old Maoist movement? Strategic successes by state and federal forces and a supportive political climate in West Bengal have quelled much of the worst violence, but few see permanent victory as being just around the corner. Even so, most recognize the once-in-a-generation opportunity to win back rural populations who feel that their government has repeatedly failed them. As Mr. Sahay warns, “it would be a colossal blunder if we let it slip.”

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